Taking care of you, so you can take care of your patients.
Let’s take a deeper look into the details of all the ways we can save you time and money.
Claims Processing & Billing
Let’s be honest – there are many good and noble reasons why people go into practicing medicine. Running a business is not one of them. That’s where we come in. Our only job is to manage the business side of your practice. It’s what we do. We don’t have patients – we have claims to process. That means you can focus solely on patient care.
Electronically denied claims are corrected and re-submitted within 24 hours.
Saving You Money And More
Doing your own billing and claims processing costs on average between 9-12% of your revenue. We do it for the flat fee averaging 5% of the amount collected. But it isn’t just about dollars and cents. It’s about a resource far more precious and scarce – your time.
It takes time and labor to prepare and process claims, to mail bills, to talk to patients about balances or insurance companies about patients. But with us, you don’t have to worry about that anymore. We…
- Pay the cost of printing and mailing your statements.
- Follow up with patient balances and establish budget payments according to your financial policy.
- Process patient refunds when applicable.
- Respond to patient and insurance carrier calls through our toll-free number.
- Work and appeal your denials in a timely manner.
- Follow up on aged claims and reprocess.
- File your secondary and tertiary claims.
Run Your Practice Better
Let us run the business of your practice. You focus on treating patients.
Keep Your Current EHR
Whatever software you’re using for your Electronic Health Record is fine. We’ll just help you use it better. Our software is designed to be as low-impact as possible on your practice. We will establish a VPN (virtual private network), at our expense, to access your current EHR. Or if you need an EHR, we can provide you with ours.
Either way – we can audit your charts and verify the correct charges. Remember – it’s about getting you paid and keeping you in compliance.
Putting The Flow Back In Your Work
The smoother your practice operates, the more patients you can see; the more patients you see, the more claims you have; the more claims – the more reimbursements.
It all starts with having a workflow that both works and flows.
The best way we know how to do that is by checking the complete eligibility of your patients and their insurance before their appointments. Automatically. We will also work with and train your staff on pre-authorizations and referrals. This way no one wastes any time. Not you. Not your patients.
Get Informed About Your Operations
We provide all our clients customized monthly reports to fit their unique needs under our billing system. Transparency is important to us. In many cases, we are able to give you with more information than our competitors, or your own facility, is able to provide.
51 Oakwood has you covered. Because it isn’t just about billing and coding – it’s also about information. It’s feeling at ease and secure knowing there’s a team looking out for you and your practice.
CMS fee scheduling is a fluid environment. It changes. Maybe it’s par and non-par reimbursements? Or fee increases or decreases? It could be that all the contracts are undergoing massive changes – but it doesn’t matter. Not to you. Because you have us.
Part of what we do is a thorough, legal-minded analysis of fee scheduling. Not just today’s Medicare but tomorrow’s too. This way you never have to worry about being a step behind the latest CMS changes. With 51 Oakwood – you’ll be two steps ahead.
Get Paid More
PQRS? Meaningful Use? We track that.
Our certified coders make sure none of your reimbursements get left on the table.
Having A Lawyer On Your Side
There are advantages to practicing law for more than twenty years. Whether it’s making sense of new CMS policies, negotiating carrier contracts, or helping you avoid audits – 51 Oakwood is there for you.
Keeping You In The Game
We know letting a license lapse is the same as losing money. Docketing for renewal, re-validation, or any other change that could affect your practice is our job.
So is keeping you clean and audit free. Undercoding is as potentially dangerous as overcoding.
Using Our Expert Skills To Make You More
Sifting through the sometimes confusing new CMS mandates? No problem.
Working on hard-to-appeal denied claims? As long as the information and documentation is correct – nothing will be in AR for more than 90 days.
Making sure carriers stick to their contractual obligations and payment is received? Every day.
Backing up all source material to your e-filing cabinet on your client entity? Standard practice.
We negotiate the carrier contracts for all our clients with one goal in mind to get you the highest fees. We’ll also handle provider enrollment and your credentialing.
Auditing & Consulting
No One Likes Surprise AuditsWe don’t. You don’t. No one does. But the truth is they happen. The best protection is to have nothing to hide. That way, even if your number comes up, there is nothing to fear. We help provide you that peace of mind.
Let Us Audit You. Not Them.Your peace of mind is important to us. So is maximizing your income. If you’d like, we will come to you for an on-site evaluation. That way you and your practice stay safe and profitable.
We will look at:
- Patient Charts to ensure CMS compliance and proper billing and documentation.
- Verify, Credential, and/or Re-credential current or new providers.
- Provide regional or national benchmarks for reimbursement.
- Audit proper documentation.
- Review with our coders and legal team.
Training and Education
Working Together To Make Everyone Better
We are committed to helping your practice run as efficiently as possible. Having us in your corner is like having an office staff AND an insurance policy. We are there to protect you from accidents and keep you safe when things go wrong. Our staff stays current and we will train your staff when and where necessary.
The only thing better than catching a mistake is not making it in the first place. This is why education and training is part of what we do for you. But we understand that mistakes happen and we work to correct and train so that they don’t re-occur.
Getting Your Staff Up To Speed
Running your own practice or billing department has a lot of moving parts. Getting your staff on the same page makes it all easier. At 51 Oakwood, we work with your people to make sure that page is the right one. Our experts will even come to you – to your facility – to train your staff in:
- Documentations and Compliance
- Basic Coding, Bundling, and Medical Necessity
- Obtain Pre-Authorizations and Pre-Certifications
- Appointment Scheduling In Our System
- Charge Capture
- Intake and Patient Demographics
- E/M and Chart Auditing
- HIPPA Compliance
What our clients are saying…
“I have worked with 51 Oakwood the past 3 years in my role as a consultant, and have found them to be very easy to work with. Their professionalism and dedication to our Practice and patients have made the current COVID crisis manageable. They employ staff who are responsive to our staff and any of our patients who call. All questions or requests are given prompt answers and have increased our patients’ satisfaction with our billing processes.
Communication with 51Oakwood is frequent, which keeps us aware at all times where we stand with our billables and income.
I am very pleased with this outstanding company and I recommend 51 Oakwood often and will continue to do so in the future.”
Stark Womens Clinic
“Joining 51 Oakwood is one of the best business and medical practice decisions I have ever made. I have been a client since 2005. From the very start, the service has been wonderful. The staff is very helpful and friendly. I have also heard that from patients who have contacted 51 with billing questions. Having someone who is helpful and understanding makes for a much happier experience.
We just negotiated a contract with a new carrier and once again, 51 came through for me. I will be a client until I retire!”